Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: RES14
MultiStage: No
DXCat Label: Parainfluenza Virus Infection Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Parainfluenza virus infection Parainfluenza virus infection [tissue culture reports isolation of influenza virus or convalescent
versus acute antibody titer shows >four fold increase]
DX 07989;
DX 07989 + GROUP FEVER;
AND coryza
AND productive cough
AND fever
AND malaise
AND myalgia
Presumptive Diagnostic Findings:
Parainfluenza virus infection >4 rise in antibody titer [hemagglutination inhibition or by complementfixation
or neutralization tests in acute-and convalescent-phase serology reports]
OR immunofluorescence of viral antigens in exfoliated cells from the respiratory tract
[serology report]
1.02 with acute otitis media Stage 1.01
AND otitis media
1.03 with croup Stage 1.01
AND barking cough of croup
OR laryngotracheobronchitis
1.04 with bronchiolitis Stage 1.01
AND prolonged expiratory phase with wheezing on physical examination
AND hyperexpansion and increased peribronchial markings [chest x-ray report]
2.01 with pneumonia Stage 1.01-1.04
AND pneumonia:
2.02 with bacterial tracheitis Stage 1.01-2.01
AND dyspnea and tachypnea
AND purulent airway secretions
AND infected tracheal aspirate [Gram’s stain [presence of many WBCs AND a single
predominant organism
OR tracheal aspirate [culture reports growth of pathologic organism(s)]
2.03 with hypoxemia Stage 1.03-2.02
AND hypoxemia:
3.01 with acute upper airway obstruction Stage 1.03-2.03
AND acute obstruction of the upper airway
STAGE 1.01 + DXCAT ENT18;
STAGE 1.01-1.02 + DXCAT RES07;
NO;
DX 4802;
STAGE 1.01-2.01 + (DX 46410,
46420);
STAGE 1.01-2.02 + GROUP
HYPOXEMIA;
STAGE 1.01-2.03 + (DX 46401,
46411, 46421, 46431 , 47875);
3.02 with respiratory failure Stage 1.03-3.01
AND respiratory failure:
STAGE 1.01-3.01 + GROUP
RESP_FAIL;
Thursday, January 07, 2010 9:23:12 AM
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